- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …journey? We're looking for a dynamic and experienced clinical leader to join our team as Lead Medical Review Director -a pivotal role with a clear path toward ... Medical Officer responsibilities\.** **This is more than a medical director role\. It's an opportunity to...quality, and performance at scale\.** **What You'll Do:** + Lead medical necessity reviews, appeals, and peer\-to\-peer… more
- Humana (Nashville, TN)
- …reviews of requests received by members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical ... **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and… more
- Humana (Nashville, TN)
- …flexibility to adapt and the courage to innovate **Additional Information** Typically reports to Lead Medical Director , depending on size of region or line ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical… more
- Humana (Nashville, TN)
- …**Additional Information** Typically reports to an Associate Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of ... caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The… more
- Humana (Nashville, TN)
- …make an impact** Additional Information Typically reports to a Regional/Associate Vice President, Lead , or Corporate Medical Director , depending on size of ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Nashville, TN)
- …to adapt and the courage to innovate **Additional Information** Typically reports to a Lead , or Corporate Medical Director , depending on size of region ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical… more
- ThermoFisher Scientific (Lebanon, TN)
- …**Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director /Global Medical Indication Lead (FSP) based in the United ... with peers as well as management of the different functional groups. + Lead indication medical ad boards as appropriate + Help build and maintain a "best in… more
- CVS Health (Nashville, TN)
- …leaders to ensure our systems remain stable and performant as we scale. The Lead Director of Observability Engineering is a critical leadership role within ... Solutions Engineering and Infrastructure, reporting directly to the Executive Director of Observability and Performance. This position is responsible for leading a… more
- CVS Health (Nashville, TN)
- …to make a large impact in your next role? Join CVS Health as the Lead Director , Underwriting and Analytic Services, where you will be responsible for Financial ... Analysis and Underwriting within the team. Here, you will lead key pricing activities to retain and grow pharmacy lives and support CVS Health and Finance leadership… more
- CVS Health (Nashville, TN)
- …customers and want to be on the ground floor of digital innovation. The Lead Director in Commercial, Network and Provider is responsible for product management ... investments to optimize value. This is an individual contributor role who will lead product teams to achieve key outcomes by collaborating with Product Owners,… more